| Amy Goldsheid-martin Lcsw Pc | |
|
50 Sagamore St Plainview NY 11803-2219 | |
| (516) 353-5277 | |
| (801) 642-5979 |
| Full Name | Amy Goldsheid-martin Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 50 Sagamore St, Plainview, New York |
| Authorized Official Name and Position | Amy Goldsheid-martin (OWNER) |
| Authorized Official Contact | 5163535277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Goldsheid-martin Lcsw Pc 50 Sagamore St Plainview NY 11803-2219 Ph: (516) 353-5277 | Amy Goldsheid-martin Lcsw Pc 50 Sagamore St Plainview NY 11803-2219 Ph: (516) 353-5277 |
| NPI Number | 1952951170 |
|---|---|
| Provider Enumeration Date | 09/19/2019 |
| Last Update Date | 09/19/2019 |
| Medicare PECOS PAC ID | 9830521178 |
|---|---|
| Medicare Enrollment ID | O20191107001215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952951170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amy Goldsheid-martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730287830 PECOS PAC ID: 1052638582 Enrollment ID: I20150323000612 |
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